title: [Immediate reconstructive approach in neoplastic pathology and "high risk" of the breast].
abstract: One of the most important aims in oncology should be the quality of life, even in the cases of limited life expectancy. With this objective, the Authors report their experience of immediate breast reconstruction after surgical treatment for neoplasms and "high risk" lesions. In 76 cases they analyzed aesthetic results and morbidity. In immediate reconstruction after Patey mastectomies, the tissue expanders offered good cosmetic results with an acceptable complication rate in comparison with more complex methods as myocutaneous flaps. These flaps represent the alternative in selected cases of Halsted mastectomies, where the mutilation is not acceptable to the patient. In "high risk" lesions surgical approach, namely subcutaneous mastectomy, may be proposed in selected cases only. The Authors emphasize that subcutaneous mastectomy with an immediate submuscular reconstruction offer good aesthetic results especially in small size breasts with mild ptosis. The capsular contracture is however significant in 25% of the patients treated with these techniques.
authors.affiliation: Servizio di Chirurgia Plastica e Ricostruttiva, Istituto Nazionale Tumori Regina Elena, Roma.
authors.forename: S
authors.initials: S
authors.lastname: Pompei
authors.forename: A
authors.initials: A
authors.lastname: Varanese
authors.forename: F
authors.initials: F
authors.lastname: Fanini
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000601:surgery*; D004954:Esthetics; D005260:Female; D005348:Fibrocystic Breast Disease / Q000601:surgery*; D006801:Humans; D008408:Mastectomy; D015411:Mastectomy, Modified Radical; D015409:Mastectomy, Radical; D015413:Mastectomy, Simple; D008875:Middle Aged; D019736:Prostheses and Implants; D012307:Risk Factors; D015625:Tissue Expansion Devices
vernacular_title: L'approccio ricostruttivo immediato nella patologia neoplastica ed "a rischio" della mammella.